Individual provider Active NPI

David Bertin Ness, OD

  • Optometrist
  • Woodbury, MN
National Provider Identifier
1083792097
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MN1957 Issued in MN
Practice address
7150 Valley Creek PLZ Ste 216
Woodbury, MN 55125-2271
Phone
(651) 738-4886
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MN1957 MN Primary

Addresses

Primary practice location

7150 Valley Creek PLZ Ste 216
Woodbury, MN 55125-2271

Mailing address

7150 Valley Creek PLZ Ste 216
Woodbury, MN 55125-2271
Phone (651) 738-4886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000613 MN Practitioner - Optometry 0345204129 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MN1957MNMDOptometrist
1957MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Sees the Day LTD Optometrist CurrentSince Feb 5, 1992 Accepting new patients
Sees the Day LTD Optometrist CurrentSince Jan 27, 1993 Accepting new patients

Locations

7150 Valley Creek Plz
Ste 216
Woodbury, MN 55125
Phone (651) 738-4886

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083792097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 VALLEY CREEK PLZ STE 216",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252271",
            "telephone_number": "651-738-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 VALLEY CREEK PLZ STE 216",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252271",
            "telephone_number": "651-738-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESS",
        "first_name": "DAVID",
        "middle_name": "BERTIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "MN1957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.